CKYC & KRA KYC Form

Know Your Client Application Form (For Individuals only)

(Please fill the form in English and in BLOCK Letters) Fields marked with ‘*’ are mandatory fields

Application Type* New Update KYC No.

KYC Type* Normal (PAN is mandatory) PAN Exempt Investors (Refer instruction K)

1 Identity Details (Please refer instruction A at the end)

PAN Please enclose a duly attested copy of your PAN Card

Prefix
Name* (same as ID Proof) F I R S T M I D D L E L A S T

Maiden Name (If any*) F I R S T M I D D L E L A S T

Father / Spouse Name* F I R S T M I D D L E L A S T

Mother Name* F I R S T M I D D L E L A S T
Photo
Date of Birth* D D M M Y Y Y Y Gender* Male Female Transgender Marital Status* Married Unmarried
Others
Citizenship* Indian Others – Country Country Name Country Code

Residential Status* Resident Individual Non Resident Indian Foreign National Person of Indian Origin

Occupation Type* Service Private Sector Public Sector Government Sector Professional Self Employed Retired

Housewife Student Business Not Categorised Signature/

Others Thumb Impression
2 Proof of Identity (PoI)* (for PAN exempt Investor or if PAN card copy not provided) (Please refer instruction C & K at the end)
(Certified copy of any one of the following Proof of Identity [PoI] needs to be submitted)
Passport Number Passport Expiry Date D D M M Y Y Y Y

Voter ID Card Aadhaar Card

Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y

NREGA Job Card

Others (any document notified by the central government) Identification No

3 Proof of Address (PoA)* 3.1 Current / Permanent / Overseas Address Details (Please see instruction D at the end)
Address

City / Town / Village* District* Pin Code*

State/UT* State/UT Code Country* Country Code

as per Indian Motor Vehicle Act, 1988 as per ISO 3166

Address Type* Residential / Business Residential Business Registered Office Unspecified

(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)

Proof of Address*
Passport Number Passport Expiry Date D D M M Y Y Y Y

Voter ID Card Aadhaar Card

Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y

NREGA Job Card

Others (any document notified by the central government) Identification No

3.2 Correspondence / Local Address Details* (Please see instruction E at the end)
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill 'Annexure A1', Submit relevant documentary proof)
Address

City / Town / Village* District* Pin Code*

State/UT* State/UT Code Country* Country Code

as per Indian Motor Vehicle Act, 1988 as per ISO 3166

4 Contact Details (All communications will be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end)

Email ID Mobile

Tel. (off) Tel. (Resi)

 5 FATCA/CRS Information (Tick if Applicable) Residence for Tax Purposes in Jurisdiction(s) Outside India (Please refer instruction B at the end)
Additional Details Required* (Mandatory only if above option (5) is ticked)
Country of Jurisdiction of Residence* Country Code of Jurisdiction of Residence as per ISO 3166

Tax Identification Number or equivalent (If issued by jurisdiction)*

Place / City of Birth* Country of Birth* Country Code as per ISO 3166
Address

City / Town / Village* District* Pin Code*

State/UT*
State State/UT Code Country* Country Code
as per Indian Motor Vehicle Act, 1988 as per ISO 3166
6 Details of Related Person (Optional) (please refer instruction G at the end) (in case of additional related persons, please fill 'Annexure B1')

Related Person Deletion of Related Person KYC Number of Related Person (if available*)
Related Person Type* Guardian of Minor Assignee Authorized Representative
Prefix
Name* F I R S T M I D D L E L A S T
(If KYC number and name are provided, below details of section 6 are optional)
Proof of Identity [PoI] of Related Person* (Please see instruction (H) at the end)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)

Passport Number Passport Expiry Date D D M M Y Y Y Y

Voter ID Card Aadhaar Card

Pan Card

Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y

NREGA Job Card

Others (any document notified by the central government) Identification No

7 Remarks (If any)

8 Applicant Declaration
• I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes
therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held
liable for it. I hereby declare that I am not making this application for the purpose of contravention of any Act, Rules, Regulations or any statute of [Signature / Thumb Impression]
legislation or any notifications/directions issued by any governmental or statutory authority from time to time.
• I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.

Date D D M M Y Y Y Y Place Signature / Thumb Impression of Applicant

9 Attestation / For Office Use Only

Documents Received Certified Copies
KYC Verification Carried Out by (Refer Instruction I) Institution Details

Date D D M M Y Y Y Y Name

Emp. Name Code

Emp. Code Emp. Branch

Emp. Designation

[Institution Stamp]

[Employee Signature]

In-Person Verification (IPV) Carried Out by (Refer Instruction J) Institution Details

Date D D M M Y Y Y Y Name

Emp. Name Code

Emp. Code Emp. Branch

Emp. Designation

[Institution Stamp]

[Employee Signature]
 Instructions/Guidelines for filling Individual KYC Application Form
General Instructions:
1. Self-Certification of documents is mandatory.
2. KYC number of applicant is mandatory for update/change of KYC details.
3. For particular section update, please tick (?) in the box available before the section number and strike off the
sections not required to be updated.
4. Copies of all documents that are submitted need to be compulsorily self-attested by the applicant and
accompanied by originals for verification. In case the original of any document is not produced for verification, then
the copies should be properly attested by entities authorized for attesting the documents, as per the list mentioned
under [I].
5. If any proof of identity or address is in a foreign language, then translation into English is required.
6. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof
submitted.
7. If correspondence & permanent addresses are different, then proofs for both have to be submitted.
8. Sole proprietor must make the application in his individual name & capacity.
9 .For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA guidelines), copy of
passport/PIOCard/OCICard and overseas address proof is mandatory.
10. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous Discharge Certificate)
is to be submitted.
11. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving
Certificate/Mark sheet issued by Higher Secondary Board/ Passport of Minor/Birth Certificate must be provided.
A. Clarification / Guidelines on filling ‘Identity Details’ section
1. Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in
the Proof of Identity submitted failing which the application is liable to be rejected.
2. Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is
mandatory.
B. Clarification/Guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside
India
1. Tax identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if
the said jurisdiction has issued a high integrity number with an equivalent level of identification (a “Functional
equivalent”), the same may be reported. Examples of that type of number for individual include, a social security/
insurance number, citizen/personal identification/services code/number, and resident registration number)
C. Clarification / Guidelines on filling ‘Proof of Identity [PoI]’ section, if PAN Card copy is not enclosed/For
PAN exempt Investors
1. If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if ‘Z – Others (any document notified by the central government)’ is
ticked.
3. Others – Identity card with applicant’s photograph issued by any of the following: Central/ State Government
Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks,
Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI, ICWAI, ICSI,
Bar Council, etc., to their Members; and Credit cards/Debit cards issued by Banks.
4. Letter issued by a gazetted officer, with a duly attested photograph of the person.
D. Clarification / Guidelines on filling ‘Proof of Address [PoA] section
1. PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in
force.
2. State / U.T Code and Pin / Post Code will not be mandatory for Overseas addresses.
3. Others includes – Utility bill which is not more than two months old of any service provider (electricity, telephone,
post-paid mobile phone, piped gas, water bill); Bank account or Post Office savings bank account statement;
Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign Embassy or
Mission in India; Identity card with applicant’s photograph and address issued by any of the following: Central/
State Government Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled
Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as
ICAI, ICWAI, ICSI, Bar Council, etc., to their Members; and Credit cards/Debit cards issued by Banks.
E. Clarification / Guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’
section
1. To be filled only in case the PoA is not the local address or address where the customer is currently residing. No
separate PoA is required to be submitted.
2. In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’
3. Others includes – Utility bill which is not more than two months old of any service provider (electricity, telephone,
post-paid mobile phone, piped gas, water bill); Bank account or Post Office savings bank account statement;
Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign Embassy or
Mission in India; Identity card with applicant’s photograph and address issued by any of the following: Central/
State Government Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled
Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as
ICAI, ICWAI, ICSI, Bar Council, etc., to their Members; and Credit cards/Debit cards issued by Banks.
F. Clarification / Guidelines on filling ‘Contact details’ section
1. Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention
91-9999999999).
2. Do not add ‘0’ in the beginning of Mobile number.
G. Clarification / Guidelines on filling ‘Related Person details’ section
1. Provide KYC number of related person if available.
H. Clarification / Guidelines on filling ‘Related Person details – Proof of Identity [PoI] of Related Person’
section
1. Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
I. List of people authorized to attest the documents after verification with the originals:
1. Authorised officials of Asset Management Companies (AMC).
2. Authorised officials of Registrar & Transfer Agent (R&T) acting on behalf of the AMC.
3. KYD compliant mutual fund distributors.
4. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign
Banks (Name, Designation & Seal should be affixed on the copy).
5. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India,
Notary Public, Court Magistrate, Judge, Indian Embassy/ Consulate General in the country where the client
resides are permitted to attest the documents.
6. Government authorised officials who are empowered to issue Apostille Certificates.
J. List of people authorized to perform In Person Verification (IPV):
1. Authorised officials of Asset Management Companies (AMC).
2. Authorised officials of Registrar & Transfer Agent (R&T) acting on behalf of the AMC.
3. KYD compliant mutual fund distributors.
4. Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (for investors investing
directly).
5. In case of NRI applicants, a person permitted to attest documents, may also conduct the In Person Verification and
confirm this in the KYC Form.
K. PAN Exempt Investor Category
1. Investments (including SIPs), in Mutual Fund schemes up to INR 50,000/- per investor per year per Mutual Fund.
2. Transactions undertaken on behalf of Central/State Government, by officials appointed by Courts, e.g., Official
liquidator, Court receiver, etc.
3. Investors residing in the state of Sikkim.
4. UN entities/multilateral agencies exempt from paying taxes/filing tax returns in India.
 List of Two-Digit state / U.T Codes as per Indian Motor Vehicle Act, 1988
State / U.T Code State / U.T Code State / U.T Code
Andaman & Nicobar AN Himachal Pradesh HP Pondicherry PY
Andhra Pradesh AP Jammu & Kashmir JK Punjab PB
Arunachal Pradesh AR Jharkhand JS Rajasthan RJ
Assam AS Karnataka KA Sikkim SK
Bihar BR Kerala KL Tamil Nadu TN
Chandigarh CH Lakshadweep LD Telangana TS
Chhattisgarh CG Madhya Pradesh MP Tripura TR
Dadra and Nagar Haveli DN Maharashtra MH Uttar Pradesh UP
Daman & Diu DD Manipur MN Uttarakhand UK
Delhi DL Meghalaya ML West Bengal WB
Goa GA Mizoram MZ Other XX
Gujarat GJ Nagaland NL
Haryana HR Orissa OR

List of ISO 3166 Two-Digit Country Code

Country Country Country Country Country Country Country Country

Code Code Code Code
Afghanistan AF Dominican Republic DO Libya LY Saint Pierre and Miquelon PM
Åland Islands AX Ecuador EC Liechtenstein LI Saint Vincent and the Grenadines VC
Albania AL Egypt EG Lithuania LT Samoa WS
Algeria DZ El Salvador SV Luxembourg LU San Marino SM
American Samoa AS Equatorial Guinea GQ Macao MO Sao Tome and Principe ST
Andorra AD Eritrea ER Macedonia, the Former Yugoslav Republic of MK Saudi Arabia SA
Angola AO Estonia EE Madagascar MG Senegal SN
Anguilla AI Ethiopia ET Malawi MW Serbia RS
Antarctica AQ Falkland Islands (Malvinas) FK Malaysia MY Seychelles SC
Antigua and Barbuda AG Faroe Islands FO Maldives MV Sierra Leone SL
Argentina AR Fiji FJ Mali ML Singapore SG
Armenia AM Finland FI Malta MT Sint Maarten (Dutch part) SX
Aruba AW France FR Marshall Islands MH Slovakia SK
Australia AU French Guiana GF Martinique MQ Slovenia SI
Austria AT French Polynesia PF Mauritania MR Solomon Islands SB
Azerbaijan AZ French Southern Territories TF Mauritius MU Somalia SO
Bahamas BS Gabon GA Mayotte YT South Africa ZA
Bahrain BH Gambia GM Mexico MX South Georgia and the South Sandwich Islands GS
Bangladesh BD Georgia GE Micronesia, Federated States of FM South Sudan SS
Barbados BB Germany DE Moldova, Republic of MD Spain ES
Belarus BY Ghana GH Monaco MC Sri Lanka LK
Belgium BE Gibraltar GI Mongolia MN Sudan SD
Belize BZ Greece GR Montenegro ME Suriname SR
Benin BJ Greenland GL Montserrat MS Svalbard and Jan Mayen SJ
Bermuda BM Grenada GD Morocco MA Swaziland SZ
Bhutan BT Guadeloupe GP Mozambique MZ Sweden SE
Bolivia, Plurinational State of BO Guam GU Myanmar MM Switzerland CH
Bonaire, Sint Eustatius and Saba BQ Guatemala GT Namibia NA Syrian Arab Republic SY
Bosnia and Herzegovina BA Guernsey GG Nauru NR Taiwan, Province of China TW
Botswana BW Guinea GN Nepal NP Tajikistan TJ
Bouvet Island BV Guinea-Bissau GW Netherlands NL Tanzania, United Republic of TZ
Brazil BR Guyana GY New Caledonia NC Thailand TH
British Indian Ocean Territory IO Haiti HT New Zealand NZ Timor-Leste TL
Brunei Darussalam BN Heard Island and McDonald Islands HM Nicaragua NI Togo TG
Bulgaria BG Holy See (Vatican City State) VA Niger NE Tokelau TK
Burkina Faso BF Honduras HN Nigeria NG Tonga TO
Burundi BI Hong Kong HK Niue NU Trinidad and Tobago TT
Cambodia KH Hungary HU Norfolk Island NF Tunisia TN
Cameroon CM Iceland IS Northern Mariana Islands MP Turkey TR
Canada CA India IN Norway NO Turkmenistan TM
Cape Verde CV Indonesia ID Oman OM Turks and Caicos Islands TC
Cayman Islands KY Iran, Islamic Republic of IR Pakistan PK Tuvalu TV
Central African Republic CF Iraq IQ Palau PW Uganda UG
Chad TD Ireland IE Palestine, State of PS Ukraine UA
Chile CL Isle of Man IM Panama PA United Arab Emirates AE
China CN Israel IL Papua New Guinea PG United Kingdom GB
Christmas Island CX Italy IT Paraguay PY United States US
Cocos (Keeling) Islands CC Jamaica JM Peru PE United States Minor Outlying Islands UM
Colombia CO Japan JP Philippines PH Uruguay UY
Comoros KM Jersey JE Pitcairn PN Uzbekistan UZ
Congo CG Jordan JO Poland PL Vanuatu VU
Congo, the Democratic Republic of the CD Kazakhstan KZ Portugal PT Venezuela, Bolivarian Republic of VE
Cook Islands CK Kenya KE Puerto Rico PR Viet Nam VN
Costa Rica CR Kiribati KI Qatar QA Virgin Islands, British VG
Côte d'Ivoire CI Korea, Democratic People's Republic of KP Réunion RE Virgin Islands, U.S. VI
Croatia HR Korea, Republic of KR Romania RO Wallis and Futuna WF
Cuba CU Kuwait KW Russian Federation RU Western Sahara EH
Curaçao CW Kyrgyzstan KG Rwanda RW Yemen YE
Cyprus CY Lao People's Democratic Republic LA Saint Barthélemy BL Zambia ZM
Czech Republic CZ Latvia LV Saint Helena, Ascension and Tristan da Cunha SH Zimbabwe ZW
Denmark DK Lebanon LB Saint Kitts and Nevis KN
Djibouti DJ Lesotho LS Saint Lucia LC
Dominica DM Liberia LR Saint Martin (French part) MF